An AHP-QFD integrated approach to meet three dimensional environmental value requirements in sustainable e-business modelling

It is surprising that although 'e-business' and 'sustainability' are the two current major global trends but none of the e-business modelling ideas covers the sustainability aspects of the business. Environmental value requirement is one of the three pillars of sustainability concept that must be fulfilled to achieve a fully sustainable e-business model. A little literature is available on 'sustainability of ICT' but none of them clearly explains how environmental value requirements can be identified and efficiently fulfilled to achieve sustainability in e-business. Recently, companies are successfully using Quality Function Deployment (QFD) as a powerful tool in various fields that addresses strategic and operational decisions in businesses. This research approach, therefore, uses an Analytic Hierarchy Process (AHP) integrated QFD approach to show how environmental value requirements can be identified and efficiently fulfilled to achieve sustainability of e-business with a comprehensive case study. This approach is unique in the sense that in developing the model environmental value requirements are considered from three dimensions and environmental value concept is integrated with customer's value requirements, business's value requirements, and process's value requirements. The approach uses the case of a commercial bank in Bangladesh for the demonstration of the approach

An AHP integrated QFD approach for three dimensional blended value requirements in sustainable e-business modelling: The case of a commercial bank

Fulfillment of customer's requirements alone is not enough to be competitive in today's challenging market. Instead, blended value requirements need to be fulfilled for customer satisfaction, for efficient value process, and to achieve strategic goals including profit. On the other hand, 'e-business modelling' and 'sustainability of the business' are already established terms as e-business converts technology into economic value. Although e-business modelling and sustainability are the two major global trends still there is no common understanding about the elements that need to be used for a sustainable e-business model. This research approach, therefore, uses an Analytic Hierarchy Process (AHP) integrated Quality Function Deployment (QFD) approach to show how blended value requirements can be identified and efficiently fulfilled to achieve sustainability of e-business with a comprehensive case study. This approach is unique in the sense that in developing the model blended value requirements are considered from three dimensions and blended value concept is integrated with customer's value requirements, business's value requirements, and process's value requirements

Parental experiences of supporting children with clinically significant post-traumatic distress: a qualitative study of families accessing psychological services

The aim of this study was to investigate the experiences of parents in providing support to their child following trauma exposure in cases where children are experiencing clinically significant levels of post-traumatic distress. Qualitative interviews were conducted with parents whose child was exposed to a trauma and referred for psychological treatment. Parents reported considerable anxiety in coping with their child’s post-traumatic distress. Avoidance of trauma-related discussions was encouraged due to concerns that non-avoidant approaches may worsen children’s post-trauma difficulties. Nonetheless, parents were often sensitive to their child’s distress and offered reassurance and other forms of support. Many barriers existed to accessing psychological treatment, and perceptions of inadequate guidance from therapists on supporting child adjustment contributed to parental distress. The results illustrate the strategies used by parents in supporting their child post-trauma and may assist mental health professionals in providing acceptable guidance to parents following child trauma

Assessing strategies to mitigate the impacts of a pandemic in apparel supply chains

AbstractThe COVID-19 pandemic has taught global businesses that a pandemic can put business dynamics in unforeseeable turbulence. The disruptions created by the pandemic in the apparel industry exposed the vulnerabilities of apparel supply chains (SCs). To recover the supply chain impacts (SCIs) during an unprecedented event such as the COVID-19 pandemic, apparel SCs need a robust framework that can identify, measure, and mitigate the severity of SCIs by assessing effective mitigation strategies. This study identifies 12 critical SCIs in apparel SCs during a pandemic and 17 mitigation strategies. To assess SCIs and mitigation strategies, a modified grey-based bi-level analytical network process (ANP) is proposed to deal with the complex relationship between the SCIs and mitigation strategies. A real-life case study is conducted from an apparel supply chain for validation purposes. The findings suggest that policymakers in apparel SCs should prioritize implementing government policies and financial aid to deal with increased material and operational costs, the sudden surge in the unemployment rate, cancellation of orders and delayed payment, and increased transportation costs during a pandemic. This study also contributes to the literature by providing a robust decision-making framework for practitioners to deal with the complexity of SCs during future pandemics.</jats:p

Pathogenic marine microbes influence the effects of climate change on a commercially important tropical bivalve

There is growing evidence that climate change will increase the prevalence of toxic algae and harmful bacteria, which can accumulate in marine bivalves. However, we know little about any possible interactions between exposure to these microorganisms and the effects of climate change on bivalve health, or about how this may affect the bivalve toxin-pathogen load. In mesocosm experiments, mussels, Perna viridis, were subjected to simulated climate change (warming and/or hyposalinity) and exposed to harmful bacteria and/or toxin-producing dinoflagellates. We found significant interactions between climate change and these microbes on metabolic and/or immunobiological function and toxin-pathogen load in mussels. Surprisingly, however, these effects were virtually eliminated when mussels were exposed to both harmful microorganisms simultaneously. This study is the first to examine the effects of climate change on determining mussel toxin-pathogen load in an ecologically relevant, multi-trophic context. The results may have considerable implications for seafood safety

Post-pandemic sustainable supply chain recovery planning: a case study from an automobile industry

Along with several sectors, manufacturing industries have been concerned with the devastating impacts of COVID-19 on their supply chains (SCs). Many instantaneous decisions and strategies have been incorporated to mitigate the impacts of COVID-19. However, the significance of these strategies has not been analyzed in the literature considering long-term perspectives and sustainable implications. To fulfil this gap, we develop a sustainable recovery approach with a set of strategies that allow manufacturing SCs sustainable growth in the post-COVID-19 world. To analyze the results, we conduct a case study of automobile SCs of Bangladesh, an emerging economy. It identifies and assesses 16 post-COVID-19 sustainable recovery strategies and evaluates their causal relationships. The findings imply that managers should concentrate on ‘Developing a robustness-based risk management system for eliminating SC vulnerabilities’ and ‘Investing in collaborative strategic planning’. The findings can help SC managers and practitioners to develop sustainable recovery strategies in the post-pandemic era

Genetic analysis of the capsule polysaccharide (K antigen) and exopolysaccharide genes in pandemic Vibrio parahaemolyticus O3:K6

<p>Abstract</p> <p>Background</p> <p>Pandemic <it>Vibrio parahaemolyticus </it>has undergone rapid changes in both K- and O-antigens, making detection of outbreaks more difficult. In order to understand these rapid changes, the genetic regions encoding these antigens must be examined. In <it>Vibrio cholerae </it>and <it>Vibrio vulnificus</it>, both O-antigen and capsular polysaccharides are encoded in a single region on the large chromosome; a similar arrangement in pandemic <it>V. parahaemolyticus </it>would help explain the rapid serotype changes. However, previous reports on "capsule" genes are controversial. Therefore, we set out to clarify and characterize these regions in pandemic <it>V. parahaemolyticus </it>O3:K6 by gene deletion using a chitin based transformation strategy.</p> <p>Results</p> <p>We generated different deletion mutants of putative polysaccharide genes and examined the mutants by immuno-blots with O and K specific antisera. Our results showed that O- and K-antigen genes are separated in <it>V. parahaemolyticus </it>O3:K6; the region encoding both O-antigen and capsule biosynthesis in other vibrios, i.e. genes between <it>gmhD </it>and <it>rjg</it>, determines the K6-antigen but not the O3-antigen in <it>V. parahaemolyticus</it>. The previously identified "capsule genes" on the smaller chromosome were related to exopolysaccharide synthesis, not K-antigen.</p> <p>Conclusion</p> <p>Understanding of the genetic basis of O- and K-antigens is critical to understanding the rapid changes in these polysaccharides seen in pandemic <it>V. parahaemolyticus. </it>This report confirms the genetic location of K-antigen synthesis in <it>V. parahaemolyticus </it>O3:K6 allowing us to focus future studies of the evolution of serotypes to this region.</p

Laparoscopy in management of appendicitis in high-, middle-, and low-income countries: a multicenter, prospective, cohort study.

BACKGROUND: Appendicitis is the most common abdominal surgical emergency worldwide. Differences between high- and low-income settings in the availability of laparoscopic appendectomy, alternative management choices, and outcomes are poorly described. The aim was to identify variation in surgical management and outcomes of appendicitis within low-, middle-, and high-Human Development Index (HDI) countries worldwide. METHODS: This is a multicenter, international prospective cohort study. Consecutive sampling of patients undergoing emergency appendectomy over 6 months was conducted. Follow-up lasted 30 days. RESULTS: 4546 patients from 52 countries underwent appendectomy (2499 high-, 1540 middle-, and 507 low-HDI groups). Surgical site infection (SSI) rates were higher in low-HDI (OR 2.57, 95% CI 1.33-4.99, p = 0.005) but not middle-HDI countries (OR 1.38, 95% CI 0.76-2.52, p = 0.291), compared with high-HDI countries after adjustment. A laparoscopic approach was common in high-HDI countries (1693/2499, 67.7%), but infrequent in low-HDI (41/507, 8.1%) and middle-HDI (132/1540, 8.6%) groups. After accounting for case-mix, laparoscopy was still associated with fewer overall complications (OR 0.55, 95% CI 0.42-0.71, p < 0.001) and SSIs (OR 0.22, 95% CI 0.14-0.33, p < 0.001). In propensity-score matched groups within low-/middle-HDI countries, laparoscopy was still associated with fewer overall complications (OR 0.23 95% CI 0.11-0.44) and SSI (OR 0.21 95% CI 0.09-0.45). CONCLUSION: A laparoscopic approach is associated with better outcomes and availability appears to differ by country HDI. Despite the profound clinical, operational, and financial barriers to its widespread introduction, laparoscopy could significantly improve outcomes for patients in low-resource environments. TRIAL REGISTRATION: NCT02179112

Comparative genomic analysis of Vibrio parahaemolyticus: serotype conversion and virulence

<p>Abstract</p> <p>Background</p> <p><it>Vibrio parahaemolyticus </it>is a common cause of foodborne disease. Beginning in 1996, a more virulent strain having serotype O3:K6 caused major outbreaks in India and other parts of the world, resulting in the emergence of a pandemic. Other serovariants of this strain emerged during its dissemination and together with the original O3:K6 were termed strains of the pandemic clone. Two genomes, one of this virulent strain and one pre-pandemic strain have been sequenced. We sequenced four additional genomes of <it>V. parahaemolyticus </it>in this study that were isolated from different geographical regions and time points. Comparative genomic analyses of six strains of <it>V. parahaemolyticus </it>isolated from Asia and Peru were performed in order to advance knowledge concerning the evolution of <it>V. parahaemolyticus</it>; specifically, the genetic changes contributing to serotype conversion and virulence. Two pre-pandemic strains and three pandemic strains, isolated from different geographical regions, were serotype O3:K6 and either toxin profiles (<it>tdh+</it>, <it>trh</it>-) or (<it>tdh-</it>, <it>trh</it>+). The sixth pandemic strain sequenced in this study was serotype O4:K68.</p> <p>Results</p> <p>Genomic analyses revealed that the <it>trh</it>+ and <it>tdh</it>+ strains had different types of pathogenicity islands and mobile elements as well as major structural differences between the <it>tdh </it>pathogenicity islands of the pre-pandemic and pandemic strains. In addition, the results of single nucleotide polymorphism (SNP) analysis showed that 94% of the SNPs between O3:K6 and O4:K68 pandemic isolates were within a 141 kb region surrounding the O- and K-antigen-encoding gene clusters. The "core" genes of <it>V. parahaemolyticus </it>were also compared to those of <it>V. cholerae </it>and <it>V. vulnificus</it>, in order to delineate differences between these three pathogenic species. Approximately one-half (49-59%) of each species' core genes were conserved in all three species, and 14-24% of the core genes were species-specific and in different functional categories.</p> <p>Conclusions</p> <p>Our data support the idea that the pandemic strains are closely related and that recent South American outbreaks of foodborne disease caused by <it>V. parahaemolyticus </it>are closely linked to outbreaks in India. Serotype conversion from O3:K6 to O4:K68 was likely due to a recombination event involving a region much larger than the O-antigen- and K-antigen-encoding gene clusters. Major differences between pathogenicity islands and mobile elements are also likely driving the evolution of <it>V. parahaemolyticus</it>. In addition, our analyses categorized genes that may be useful in differentiating pathogenic Vibrios at the species level.</p

Microevolution of Pandemic Vibrio parahaemolyticus Assessed by the Number of Repeat Units in Short Sequence Tandem Repeat Regions

The emergence of the pandemic strain Vibrio parahaemolyticus O3:K6 in 1996 caused a large increase of diarrhea outbreaks related to seafood consumption in Southeast Asia, and later worldwide. Isolates of this strain constitutes a clonal complex, and their effectual differentiation is possible by comparison of their variable number tandem repeats (VNTRs). The differentiation of the isolates by the differences in VNTRs will allow inferring the population dynamics and microevolution of this strain but this requires knowing the rate and mechanism of VNTRs' variation. Our study of mutants obtained after serial cultivation of clones showed that mutation rates of the six VNTRs examined are on the order of 10−4 mutant per generation and that difference increases by stepwise addition of single mutations. The single stepwise mutation (SSM) was deduced because mutants with 1, 2, 3, or more repeat unit deletions or insertions follow a geometric distribution. Plausible phylogenetic trees are obtained when, according to SSM, the genetic distance between clusters with different number of repeats is assessed by the absolute differences in repeats. Using this approach, mutants originated from different isolates of pandemic V. parahaemolyticus after serial cultivation are clustered with their parental isolates. Additionally, isolates of pandemic V. parahaemolyticus from Southeast Asia, Tokyo, and northern and southern Chile are clustered according their geographical origin. The deepest split in these four populations is observed between the Tokyo and southern Chile populations. We conclude that proper phylogenetic relations and successful tracing of pandemic V. parahaemolyticus requires measuring the differences between isolates by the absolute number of repeats in the VNTRs considered